Thermal balloon endometrial ablation in dysfunctional uterine bleeding
Alakananda, Kamal Kathar, Maileng Tham
Objective: To study the clinical efficacy, safety and acceptability of endometrial ablation by uterine balloon therapy in dysfunctional uterine bleeding. Methodology: This prospective study was carried out from February 2001 to February 2012. Endometrial ablation was done on 35 patients having dysfunctional uterine bleeding (DUB) not responding to medical treatment. Patients were evaluated by proper clinical examination and investigations to rule out other causes of menorrhagia. Results were analysed to find out efficacy, safety and acceptability of uterine balloon therapy (UBT). Results: Within one year 7 (21.2%) patients became amenorrhic. Oligomenorrhoea and eumenorrhoea occurred in 19(57.5%) and 4(12.1%) patients respectively. Hysterectomy had to be done in 5 patients including 1 for endometritis, 2 for cellular atypia (detected in concurrent Dilatation and Curettage) and 2 for persistent menorrhagia. Regarding patients of high surgical risk hysterectomy could be avoided in 15 out of 16 cases having medical disorder and 6 out of 9 post CS cases. Except one case of endometritis no other complication observed. Excluding 2 cases of cellular atypia, 30 out of 33 patients were satisfied showing a success rate of 90.91%. Conclusion: UBT is a safe, easy to use, effective and minimally invasive procedure. Creating awareness acceptability can be increased to avoid hysterectomy and related morbidity.